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HomeMy WebLinkAbout04-95 Roger Gardner - Gainesboro - Backfile0fd cr &M �na►1 adJ � `II�� -e r- CUP TRACKING SHEET (To be completed by Frederick Co Staff only.) CUP Owner/Applicant �ogtr Gar-aner Application Date `A ` t-9 5 Fee Paid W yes initials: Sign Deposit E�a yes Sign return date: Submittal Cut -Off Date P/C Mtg. date: 'j ; BOS Mtg. date:_S Z -9 AGENCY REVIEW COMMENTS VDOT Airport Authority �i Inspections City of Winchester le Fire Marshal -- Co Sanitation Authority LI-1 Health Dept. PLANNING COMMISSION RECOMMENDATIONS OF (date) APPROVAL (WITH CONDITIONS) yes no DENIAL Signe� ,Secretary Date l C-' BOARD OF SUPERVISORS PUBLIC HEARING ACTION j--Do 95 (date) APPROVAL Sig � �-- � � Cq��i' Adm. DENIAL Date $� 5'' C1 RECEIPT 114,2 024458 AMOUNT DUF, � C AMOUNf PAID $I N0 LA I BALANCE DUE $ 0 PAID BY ❑ CASH Ek-'c*'-EC4 1155 OTHER 1 1 FREDERICK COUNTY DEPT. OF PLANNING AND DEVELOPMENT P. 0. BOX 601, 9 NORTH LOUDON ST. WINCHESTER, VIRGINIA 22601 DAY -TIMERS RE -ORDER No. 3221 — Printed in USA S i COUNTY of FREDERICK Department of Planning and Development 703/665-5651 . FAX 703/678-0682 May 25, 1995 Mr. Roger L. Gardner 472 Bloomery Pike Whitacre, Virginia 22625 RE: CUP #004-95 OF ROGER L. GARDNER• P.I.N. 11-A-24E Dear Mr. Gardner: This letter is to confirm action taken by the Frederick County Board of Supervisors at their meeting of May 24, 1995. Your Conditional Use Permit, for a public garage for automobile repair without body repair, has been approved by the Board of Supervisors with the following conditions: 1. The entrance to the property shall be relocated and constructed as required by VDOT prior to opening for business. 2. All review agency comments shall be complied with at all times. 3. All work shall take place entirely within an enclosed building. 4. No outside storage of parts or equipment shall be permitted and no inoperative vehicles will be allowed to be stored on the property. 5. No more than 5 vehicles awaiting repair shall be located on the property at any, time. I 6. The hours of operation shall be limited to 7 AM to 7 Pm Monday through Saturday. 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 Page 2 Roger Gardner If you have any questions regarding your Conditional Use Permit please feel free to call this office. Y� W. W�yne Miller Zoni g Administrator., WWM/dc cc: Ellen Murphy, Commissioner of Revenue i COUNTY of FREDERICK Department of Planning and Development 703/665-5651 FAX 703/678-0682 MEMORANDUM M. Finance Department FROM: Karen A. Clark, Receptionist/Clerk III� pp,,qq SUBJECT: Return Of Sign Deposit DATE: June 19, 1995 The amount of $25.00 was deposited in line item #10-1911-08 for the persons named below as a deposit for a sign. They have now returned the sign and are therefore entitled to the return of their deposit. Please send a check in the amount of $25.00 to: Mr. & Mrs. Roger Gardner 472 Bloomery Pike Whitacre VA 22625 Please contact me if you have any questions RSA/kac 107 North Kent Street Winchester, VA 22601 P.O. Box 601 Winchester, VA 22604 COMMONWEALTH of VIRGINIA DEPARTMENT OF TRANSPORTATION 14031 OLD VALLEY PIKE DAVID R. GEHR P0. BOX 278 WILLIAM H. BUSHMAN, P.E. COMMISSIONER EDINBURG, 22824-0278 RESIDENT ENGINEER July 26, 1995 TELE 17031984 5600 FAX (703) 984 5607 Mr. Roger L. Gardner Ref: Route 127 472 Bloomery Pike At 0.79 Mile North of Route 522 Whitacre, VA 22625 Frederick County Dear Mr. Gardner: Enclosed is your approved Land Use Permit #855-03041 to cover the construction and maintenance of one commercial entrance to your public garage at the referenced location. Please note we have made several minor revisions to the permit plan. Please ensure a copy of the approved permit assembly is kept at the site whenever working within the Route 127 right-of-way. I would also like to remind you of the need to erect and maintain proper traffic control in accordance with our Virginia Work Area Protection Manual. Please give Mr. S. A. Melnikoff a call at (540) 722-3460 at least 48 hours in advance of the start of construction to arrange for any necessary inspections. If you have any questions concerning the permit requirements, please feel free to give me a call. Sincerely, William H. Bushman Trans. Resident Engineer By: Robert B. Childress 3ti 5262%�� � Trans. Permits & Subdivision RZ �9 Specialist Supervisor �`L 1. ti JUL 1995 RBC/rf DEPTo EjvEa Enclosure Mao xc- Mr. S. A. Melnikoff (w/ copy of plan) � ' Mr. R. W. Watkins 'r�+�tr� 7, I ms� FIN P/C Review Date: 05/03/95 BOS Review Date: 05/24/95 CONDITIONAL USE PERMIT #004-95 ROGER L. GARDNER AUTOMOTIVE REPAIR WITHOUT BODY REPAIR LOCATION: This property is located at 472 Bloomery Pike (Route 127), Whitacre, Virginia. MAGISTERIAL DISTRICT: Gainesboro PROPERTY ID NUMBER: 11-A-24E PROPERTY ZONING & PRESENT USE: Zoned RA (Rural Areas) Land use - Residential ADJOINING PROPERTY ZONING & PRESENT USE: Zoned RA (Rural Areas) Land Use - residential and agriculture (wooded) PROPOSED USE: Automotive repair without body repair REVIEW EVALUATIONS: Virginia Department of Transportation: The existing private entrance serving the property does not meet commercial entrance design standards nor is VDOT's minimum sight distance requirements met at the present location to allow for safe egress/ingress. However,we would not object to a conditional use permit being issued for this property if the applicant is required to construct an entrance which meets VDOT's minimum commercial design standards on the north side of the property in order to obtain minimum sight distance requirements. This will entail extensive excavation. Any work performed on the Route 127 right-of-way must be covered under land use permit. NOTE: At the request of the Zoning Administrator, VDOT highway inspector met with the Gardeners and a reasonable solution to the entrance location was determined. This was staked by the VDOT inspector and the Gardners have no objection to this entrance modification. 0 0 Page 2 Gardner CUP #004-95 Fire Marshall: 1) Storage of any flammable or combustible liquids must comply with Chapter 32, Virginia Statewide Fire Prevention Code, at all times. 2) Street address numerical required at road in accordance with Frederick County Ordinance. 3) No Spray painting is permitted unless approved spray booth with automatic fire suppression system is installed in accordance with building and fire codes. Inspections Department: Building shall comply with Virginia Uniform Statewide Building Code and Section 311, Use Group S (Storage) of the BOCA National Building Code 1993. Other codes that apply are Title 24 Code of Federal Regulation, Part 36 Nondiscrimination on the Basis of Disability by Public Accommodations and in Commercial Facilities. Will require minimum plumbing fixtures according to the BOCA National Plumbing Code and Drainage from the floor shall run through an approved grease oil separator. Health Department: The health department has no objections to this conditional use as long as there will be no increased water use. The septic tank and distribution box for the system were observed on March 24, 1995, and the septic system appeared to function properly. Planning Department: This requested use is allowed by ordinance with an approved conditional use permit. The applicant desires to construct a new building to accommodate the use. During a visit to the site on April 18, 1995 the location of the proposed building was identified by the applicant. The location will be screened from the highway (Route 127, Bloomery Pike) due to elevation and from an adjoining residence by a wooded area. The adjoining residence is estimated to be at least 500 feet away. The entrance to the property will need to be relocated further to the north as marked by VDOT in order to provide better sight visibility for vehicles entering or leaving the location. It does not appear that allowing this use would have any significant impact on the neighborhood. ! 0 Page 3 Gardner CUP #004-95 STAFF RECOMMENDATION FOR MAY 3, 1995: Approval with the following conditions: 1. The entrance to the property shall be relocated and constructed as required by VDOT prior to opening for business. 2. All review agency comments shall be complied with at all times. 3. All work shall take place entirely within an enclosed building. 4. No outside storage of parts or equipment shall be permitted and no inoperative vehicles will be allowed to be stored on the property. 5. No more than 5 vehicles awaiting repair shall be located on the property at any time. 6. The hours of operation shall be limited to 7 AM to 7 Pm Monday through Saturday. SUMMARY OF PLANNING COMMISSION ACTION: At their regular meeting on May 3, 1995 the Planning Commission conducted a public hearing for this request. No one spoke for or against this request and the Commission had one question concerning the screening of the planned activity from the adjoining residence. There being no opposition, the Commission voted unanimously for a recommendation of approval with the following conditions: 1. The entrance to the property shall be relocated and constructed as required by VDOT prior to opening for business. 2. All review agency comments shall be complied with at all times. 3. All work shall take place entirely within an enclosed building. 4. No outside storage of parts or equipment shall be permitted and no inoperative vehicles will be allowed to be stored on the property. 5. No more than 5 vehicles awaiting repair shall be located on the property at any time. 6. The hours of operation shall be limited to 7AM to 7PM Monday through Saturday. lqw 8 10 31 51E 10 9 52A 52 2 pts. 29 0 O e ryry h o Or 54 27 Y° P w ti 26 z P 56 LO � 2 pte O � 9A o 56A O 16 'P 56B O O � 28 56C 56G O 5� sy 25 56F °O s 56E 256 56 °°w q 56 2 pt& 241 24 Ort�° R�°tn° �`So 17 24B 0 cr �t 23S22 17A 24C 13 7 2 2 4A r' 4D 19G 19E 58 A O 24F zn ., s3A 22 21 Rt. 127 Bioorner Pike 19D J� Crockett 19C 19B ^O� ° 19 305-451 19A pts. i� 18F 305-451 �g G �0 �5 6 18E 18D e 5 18 CUP #004-95 PIN: 11-A-24E ROGER L. GARDNER ZONING: RA 1. NAME: ADDRESS: Submittal Deadline P/C Meeting BOS Meeting APPLICATION FOR CONDITIONAL USE PERMIT FREDERICK COUNTY, VIRGINIA 1-� (The applicant if the owner other) �oca�c L. Gardne.y- TELEPHONE (-7c3) '�$g- 3919 2. Please list all owners, occupants, or parties in interest of the property: Gardner 3. The property is located at: (please give exact directions and include the route number of your road or street) W -her `pht- 't 72- F-9 no rner 4. The property has a road frontage of et and a depth of 5�@O feet and consists of acres. (Please be exact) �AA.,,�� K. 5. The property is owned by CfC �•. TtICY.ji, , as evidenced by deed from i o recorded (previo]]]]ds owner) in deed book no. L- 13 on page , as recorded in the records of the Clerk of the Circuit Court, County of Frederick. 6. 14-Digit Property Iden Magisterial District Current Zoning re.61 ification No. 7. Adjoining Property: USE North Q; I It L— East rl 6L South AL West A 8. The type of use proposed is (consult with the Planning Dept. before completing) PLX r3 c.I C, 6;T &! ALA-6,, E- 9. It is proposed that the following buildings will be constructed: "�_ �, �� ! � .�Mat L, :D l "q 10. The following are all of the individuals, firms, or corporations owning property adjacent to both sides, rear and in front of (also across street from) the property where requested use will be conducted. (Continue on back if necessary.) These people will be notified by mail of this application: (PLEASE LIST COMPLETE 14-DIGIT NUMBER.) rnAp II NAME L104ci Lok-yll0 ..... ,., Address P 0, flbo)C 1-1 W%1AHCct' VR a-R(.Dc-5 Property ID# I��®� cco() :Address Cif h%kacxe VR 3GV, Property ID# I O�)O -A -0000 __ O Q4 0 Address :3 i )Nh Oa,e- OYR, UA Property ID# I I ax) o0oo._ OAS ,Address Property ID# 0000-00a4 Address 499 GaYc6ur Roo h1VRQTe \/A O'Q Property ID# 1 � ©()0 (4._ 000©..... o rl (.� Address Property ID# 5 �aS NOjg TN c 1 Ju E VA. 9 i i i 2° / I� 88 0 3. Q , o..s n r� • 3 n CA i 7 9VI ,0f/,OE Q�sodor�d •S�) ` 3.796 4CRES OEED BOOK 575 RAGE 270 J __ S od ' / 7' 15 i NEPEBY ce-Rrl'cY 7N47 ON M4,OCA,' 20, 1986, / M40E 4-v 4CCU P4 TE SLI PVCY OF 7�/E P�POPERTY )4EP�PESE1V7E0 BY • 's v� 4 r a,vo 7L/07" 7q"L' APE ii/O EwnPo4cHMENrs OR E4SEME1Vr5 I CE-PT •45 S��o«/.1/ :/EPEON c L . S. /vn rE s / 71"IS• L07 OOEy NOT L/6" /N N!/O /OO rf 4A)' O—COOD LONE Z. 4 /" '0 P070A>4C EO/SON CO OE'EO BOOK 479 046E 7ZB ri rG E" SURvEY IA/S/L CO CORPOA T/ON l,4N0 G.4/NESBOA9O D/STEP/CT, F�PEOE�P/Ck fOUNTY , f/A. 00, /986 11. Please use this page for your sketch of the property. Show proposed and/or existing structures on the property, including measurements to all property lines. 12. Additional comments, if any: I (we), the undersigned, do hereby respectfully make application and petition the governing body of Frederick County, Virginia to allow the use -described in this application. I understand that the ..,sign issued . to. me- when this application is submitted must be placed at .the front -property line at least- seven (7) days prior to the first public -hearing. and -maintained so as to be visible until after the Board of Supervisors'.public hearing. Your application for a Conditional Use Permit .authorizes any member of the Frederick County Planning Commission, Board of Supervisors or Planning and Development Department to inspect your property where the proposed use will be conducted. Signature of Applicant Signature of Owner Owners' Mailing Address Owners' Telephone No. Ocb) $8B- 3919 TO BE COMPLETED BY ZONING ADMINISTRATOR: USE CODE: RENEWAL DATE: REQUEST FOR C.U.P. COMMENTS Virginia Department of Transportation Attn: Resident Engineer P.O. Box 278 Edinburg, Virginia 22824-0278 (703) 984-4133 The local office of the Transportation Department is located at 1550 Commerce St. in Winchester if you prefer to hand deliver this form. Applicant's name, address and phone number: 1� i bo XS 8-- 3 g VA �k,-A(CAS Name of development and/or description of the request: vOndi- Location: 4)1 , Ira tf el. (R _ 55 /11od A c ! W; Y) Ch e st -�-- r a alprox %,•rya te✓l y / q�►',Y� i e s -� n I�� / a 7 -t a rn l ePt.-- -t �> n �l a 7 C`'� CYr!� v'u `a U © n Y q %t %1q � 1 Pi ke Va. Dept. of Transportation Comments: The existing private entrance serving the property does not meet commercial entrance design standards nor is VDOT's minimum sight distance requirements met at the present location to allow for safe egress/ingress. However, we would not object to a conditional permit being issued for this property if the applicant is required to construct an entrance which meets VDOT's mm' u'min commercial design standards on the north side of the _ yin order to obtain miniTrn fight distance requirements 71iis will entail extensive excavation. Any work performed on the Route 127 right-of-way must be covered tinder land use permi t VDOT Signature and Date: (NOTICE TO RESIDENT ENGINEER*PLEASE RETURNCtHIS FORM TO APPLICANT.) NOTICE TO APPLICANT It is your responsibility to complete this form as accurately as possible in order to assist the agency with their review. Also, please attach three copies of your plans and/or application form. REQUEST FOR CONDITIONAL USE PERMIT COMMENTS Frederick County Inspections Department Attn: Building Official P.O. Box 601 Winchester, Virginia 22604 (703) 665-5650 The Frederick County Inspections Department is located at 9 North Loudoun St., 2nd Floor of the Hammon Building in Winchester, if you prefer to hand deliver this review. Applicant's name, address and phone number: (203) STE 3909 ,. bl f , VA aaeas Name of development and/or description of the request: ccna iionok lltpe— Perms+ % Public, Garna� �� hog �- kx�.i Ce, , r Location: e- • Inspection Department Comments: Building shall comply with Virginia Uniform Statewide Building Code and Section 311 Use Group S (Storage) of the BOCA Natinal Building Code/1993. Other codes that apply are title 24 Code of Federal Regulation, Part 36 Nondiscrimination on the Basis of Disability by Public Accommodations and in Commerical Facilities. Will require minimum plumbing fixtures accordinR__to the BOCA National Plumbing Code and Drainage from floor shall run through an approved grease oil separator. /j „ Code Administrator Signature & Date: (NOTICE TO INSPECTIONS DEPT.*PLEASE FeVrURN THIS -FORM TO A ICANT.) NOTICE TO APPLICANT It is your responsibility to complete this form as accurately as possible in order to assist the agency with their review. Also, please attach a copy of your application form, location map and all other pertinent information. COUNTY OF FREDERICK, VIRGINIA FIRE MARSHAL'S OFFICE LAND DEVELOPMENT COMMENTS Control No. 0314952273 Date -Received 031495 Date Reviewed 032295 Applicant Name Roger L. Gardner Address 472 Bloomery Pike Whitacre, VA 22625 Project Name Public Garage Phone No. 703-888-3979 Type of Application C.U.P. Current Zoning RA 1st Due Fire Co. 20 1st Due Rescue Co. 20 Election District Gainesboro RECOMMENDATIONS Automatic'Sprinkler System Residential Sprinkler System X Automatic Fire Alarm System X Other Emergency Vehicle Access; Adequate X Inadequate Not Identified Fire Lanes Required; Yes X No Comments Access for emergency vehicles must be maintained to all structures at all times. Roadway/Aisleway Widths; Adequate X Inadequate Special Hazards Noted; Comments Yes Not Identified No X - Continued - 0 L Hydrant Locations; Adequate Inadequate Siamese Connection Location; Approved Not Approved Not Identified X Not Identified X Additional Comments: 1) Storage of any flammable or combustible liquids must comply with Chapter 32, Virginia Statewide Fire Prevention Code, at all times. 2) Street address numericals required at road in accordance with Frederick County Ordinance. 3) No spray painting is permitted unless approved spray booth with automatic fire suppression system is installed in accordance with building and fire codes. i w r. PLANS APPROVED FIRE a��AFISHAL, FREDERICK C®l NTV Douglas A. Kiracofe Fire Marshal i i REQUEST FOR CONDITIONAL USE PERMITS COMMENTS Frederick -Winchester Health Department Attn: Sanitation Engineer P.O. Box 2056 Winchester, Virginia 22604 (703) 722-3480 MAR 1995 RECEIVED FMtft,Mnches jqz The Frederick -Winchester Health .Department is located at the intersection of Smithfield Avenue and Brick Kiln Road, if you prefer to hand deliver this review form Applicant's name,.address and phone number: 15 Name.of developmentt and/or description of the request: ,.11— D_- •� �• is i 1 !'� If a i Yu Location: Health Department Comments: Health Signature and Date: (NOTICE TO HEALTH DEPT. -._P HIS FORM TO APPLICANT.) NOTICE TO APPLICANT It is your responsibility to complete this form as accurately as possible in order to assist the agency with' their review. Also, please attach a copy of your application form, location map and all other pertinent information. • COUNTY of FREDERICK Department of Planning and Development 703/665-5651 FAX 703/678-0682 May 10, 1995 TO THE APPLICANTS) AND /OR ADJOINING PROPERTY OWNER(S) The Application of: ROGER L. GARNDER Conditional Use Permit #004-95: Mr. Garnder is applying for a conditional use permit for a public garage for automobile repair without body repair. His property is located at 472 Bloomery Pike (Route 127) and is identified with PIN 11-A-24E in the Gainesboro District. This conditional use permit application will be considered by the Frederick County Board of Supervisors at their meeting of May 24, 1995, at 7:15 p.m., in the Board Room of the Old Frederick County Courthouse, Winchester, Virginia. This will be a public hearing and all interested parties wishing to attend may do so. Sincerely, W. Wayne Miller Zoning Administrator WWM/dre 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 This is to certify tha the attached correspondence was mailed to the following on MAY 10, 1995 from a Department of Planning and D*lopment, Frederick County, Virginia: .4.4 A 2 4 E ( - A 'A :17AI IHAr�X>NE:F'k., :F:C3CvE F: 'L .. 1 MA11-11 A!33, GAF:Y : AL.YNN 472 ''3F4L0t3MEe3FiY -F~:I:KE: i 499 ;CNh-F.DNE:RF `RX) WF4:C'1'AC,'REE:., "VAS, WHI'VAC:F::E3:, .'VA I ;j.A I:33M*49, 'L1.0Y- X> ME3L:VXN A :u>4Cr r.... C3. Xwx 'i'7w3 ,:M(389 :JWNC�1 a ClN1= •22625 . WHX'1'A•C:FEE::, `-!A'1'F' XC:X:A .il l i A 24P 700 3E;1_:00Mki:RY PJKF,: 'VA. Al ,A � q 3"'o '*x.C)c)ME r%Y _ iF -T K E: I:"R01.33 ,:1G1NC;i1'ION, 'VA WF1:[ Y'F1C: 'E»., ;FAA 1:F�:1"C`X A , �► 24 700 �Wh1:C'1'AC.E». 'VA-„ - W. Wayne Mill , Zon ng Administrator Frederick Cou ty Dept. of Planning STATE OF VIRGINIA COUNTY OF FREDERICK I, RENEE' S. ARLOTTA , a Notary Public in and for the state and county aforesaid, do hereby certify that W. Wayne Miller, Zoning Administrator for the Department of Planning and Development, whose name is- signed to .the foregoing, dated MAY 10, 1995 , has personally appeared before me and acknowledged the same in my state and county foresaid. Given under my hand this 10 day of MAY J995 My commission expires on AUGUST 31, 1995 COUNTY of FREDERICK Department of Planning and Development 703/665-5651 FAX 703/678-0682 April 19, 1995 TO THE APPLICANT(S) AND /OR ADJOINING PROPERTY OWNER(S) The Application of: ROGER L. GARNDER Conditional Use Permit #004-95: Mr. Garnder is applying for a conditional use permit for a public garage for automobile repair without body repair. His property is located at 472 Bloomery Pike (Route 127) and is identified with PIN 11-A-24E in the Gainesboro District. This conditional use permit application will be considered by the Frederick County Planning Commission at their meeting of May 3, 1995, at 7:00 p.m., in the Board Room of the Old Frederick County Courthouse, Winchester, Virginia. This will be a public hearing and all interested parties wishing to attend may do so. iSinc rely, W. Wayn Miller Zoning Administrator WWM/dre 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 This is to certify th the attached correspondence wa mailed to the following on APRIL 19, 1995 frole Department of Planning and T�lopment, Frederick County, Virginia: - i. i .A : 24r j(nAt�JI)NE:Er, =EiC1CvE:Ei 1,.. « l:.(: mm..i , "4. LOYX? = iM .L.V IN C.I�F ii .:11lNC.?T':� CaN, 'VA «6 25- Wt•d:07.AC.R1E:., fPA'T7RXC XA - J. j 700 r 4L.* 0MEIRY WF• II'AC"RE:., 'VA « 1A :A 24rAi MA*T7HE:W 4XX-3~ BON a .s4r o-JF4j..C)0ME!RY ° �F'TKE.* � C.RC1S G .J1JNC:TX0N, VA 22625.... A 24 Y, IWf 1*T'AC'E:., F'A'T'R:CC"XA J. 700 .]DL.CIWME:RY F':.CKE: WH:C'T'AC.EZE:, 'VA- i -- - - - 'A P4A'i'I I c At 3.., (wAF Y ,1..YNN 4+iJtay (7,AE' 1)NE,R 'RI) '� t WH:C•i'AC.REi:, `VA W. W ne Miller, Zoning AdhiinistraTor Frederick County Dept. of Planning STATE OF VIRGINIA COUNTY OF FREDERICK I, RENEE' S. ARLOTTA a Notary Public in and for the state and county aforesaid, do hereby certify that W. Wayne Miller, Zoning Administrator for the Department of Planning and Development, whose name is -signed to the foregoing, dated APRIL 19, 1995 , has personally appeared before me and acknowledged the same in my state and county foresaid. Given under my hand this 19 day of APRIL )1995 My commission expires on AUGUST 31, 1995 G.I.S. WORK ORDER x Department of Planning & Development l GIS 9 North Loudoun Street Winchester, VA 22601 ww _r,-J 703-665-5651 The following information needs to be supplied to request production of mapping or graphics from the Planning Department. DATE � • lU - � 5 -�)DEPARTMENT• `''I o CONTACT � gn i G PHONE: DESCRIPTION+ p� OF PROJECT: �J�..G 1 MAP r.30 Coo 1(On REQUESTED COMPLETION DATE: — For Planning Department Use — CV2- Materials & Supplies: Keep in Storage? Yes No / Public Use Fee Total Time Spent on Project: ( // Comments: